局部应用不同物质对外科皮肤创面纤维增生的影响。

ISRN Dermatology Pub Date : 2012-01-01 Epub Date: 2012-02-08 DOI:10.5402/2012/282973
Andreza Miranda Abreu, Dhelfeson Willya Douglas de Oliveira, Sandra Aparecida Marinho, Nádia Lages Lima, João Luiz de Miranda, Flaviana Dornela Verli
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引用次数: 17

摘要

背景:手术伤口边缘的成纤维细胞在愈合过程中被诱导合成胶原蛋白,这被称为纤维增生。目的:探讨不同物质对大鼠外科创面纤维增生的影响。材料与方法:48只Wistar大鼠分为3组。在每只动物的背部做一个直径为1cm,深度为1mm的手术伤口。手术创面每12小时局部应用30%蜂胶、70%酒精或0.001%地塞米松的酒精提取物。分别于术后3、7、14、28天处死。对标本进行组织学处理,并用马氏毛染色。纤维增生的评估采用评分系统:(1)5%至25%的胶原沉积;(2)胶原沉积26 ~ 50%;(3) 51% ~ 75%胶原沉积;(4) 75%以上的胶原沉积。结果:两种物质在术后各评估时间的胶原沉积差异均有统计学意义。结论:蜂胶和酒精比地塞米松更能促进手术创面胶原沉积。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effect of topical application of different substances on fibroplasia in cutaneous surgical wounds.

Background: Fibroblasts on the edges of a surgical wound are induced to synthesize collagen during the healing process which is known as fibroplasia.

Objective: The aim of this study was to determine the effect of the application of different substances on fibroplasia of cutaneous surgical wounds on rats.

Materials and methods: Forty-eight Wistar rats were divided into three groups. A surgical wound 1 cm in diameter and 1 mm in depth was created on the dorsum of each animal. The surgical wounds were submitted to the topical application of an alcoholic extract of 30% propolis, 70% alcohol, or 0.001% dexamethasone in a cream base every 12 hours. The animals were sacrificed three, seven, 14, and 28 days postoperatively. The specimens were histologically processed and stained with Masson's trichome. The assessment of fibroplasia was performed using a scoring system: (1) 5 to 25% collagen deposition; (2) 26 to 50% collagen deposition; (3) 51 to 75% collagen deposition; and (4) more than 75% collagen deposition.

Results: There were statistically significant differences in collagen deposition between the substances at all postoperative evaluation times.

Conclusion: Propolis and alcohol promoted greater collagen deposition in surgical wounds than dexamethasone.

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